[EN] NOVEL PRODRUGS AND COMBINATIONS FOR TREATMENT OF HYPERTENSION AND CARDIOVASCULAR DISEASES<br/>[FR] NOUVEAUX PRO-MÉDICAMENTS ET COMBINAISONS POUR LE TRAITEMENT DE L'HYPERTENSION ET DE MALADIES CARDIOVASCULAIRES
申请人:WANG ZHAOYIN
公开号:WO2015154673A1
公开(公告)日:2015-10-15
The invention relates a pharmaceutical composition comprising (i) prodrugs of NEP inhibitors, (ii) mutual prodrugs of angiotensin receptor antagonist and a NEP inhibitor, (iii) a combination of an angiotensin receptor antagonist prodrug and a NEP inhibitor and (iv) a combination of angiotensin receptor antagonist including prodrug, a NEP inhibitor prodrug and a diuretic drug (v) a combination of angiotensin receptor antagonist, a NEP inhibitor prodrug and a calcium channel blocker. The angiotensin receptor antagonist is selected from the group selected from the group consisting of allisartan, elisartan, candesartan, eprosartan, irbesartan, losartan, saprisartan, tasosartan, telmisartan and valsartan. The invention also includes a method for treating hypertension, heart failure such as (acute and chronic) congestive heart failure, left ventricular dysfunction and hypertrophic cardiomyopathy, diabetic cardiac myopathy, supraventricular and ventricular arrhythmias, atrial fibrillation, atrial flutter, detrimental vascular remodeling, myocardial infarction and its sequelae, atherosclerosis, angina (whether unstable or stable), renal insufficiency (diabetic and non-diabetic), heart failure, angina pectoris, diabetes, secondary aldosteronism, primary and secondary pulmonary hypertension, renal failure conditions, such as diabetic nephropathy, glomerulonephritis, scleroderma, glomerular sclerosis, proteinuria of primary renal disease, and also renal vascular hypertension, diabetic retinopathy, the management of other vascular disorders, such as migraine, peripheral vascular disease, Raynaud's disease, luminal hyperplasia, cognitive dysfunction (such as Alzheimer's), glaucoma and stroke.
该发明涉及一种药物组合物,包括(i)NEP抑制剂的前药,(ii)AT1受体拮抗剂和NEP抑制剂的相互前药,(iii)AT1受体拮抗剂前药和NEP抑制剂的组合,以及(iv)包括AT1受体拮抗剂前药、NEP抑制剂前药和利尿药的组合,(v)包括AT1受体拮抗剂、NEP抑制剂前药和钙通道阻滞剂的组合。AT1受体拮抗剂选自阿利沙坦、依利沙坦、坎地沙坦、依普沙坦、厄贝沙坦、洛卡特普、沙普利沙坦、他索坦、替米沙坦和缬沙坦等组中选择的组。该发明还包括一种治疗高血压、心力衰竭(急性和慢性)充血性心力衰竭、左心室功能障碍和肥厚型心肌病、糖尿病性心肌病、心房和心室心律失常、心房颤动、心房扑动、有害的血管重塑、心肌梗死及其后遗症、动脉粥样硬化、心绞痛(无论不稳定还是稳定)、肾功能不全(糖尿病和非糖尿病)、心力衰竭、心绞痛、糖尿病、继发性醛固酮分泌亢进、原发性和继发性肺动脉高压、肾功能衰竭病情,如糖尿病性肾病、肾小球肾炎、硬皮病、肾小球硬化、原发性肾脏疾病的蛋白尿,以及肾脏血管性高血压、糖尿病视网膜病变、其他血管疾病的管理,如偏头痛、周围血管疾病、雷诺病、管腔内增生、认知功能障碍(如阿尔茨海默病)、青光眼和中风的方法。